CARY SKIN CENTER, PA
NPI 1902869530
Dermatology - MOHS-Micrographic Surgery in Cary, NC

Active since April 06, 2006CLIA Certified · 2 labs
200 WELLESLEY TRADE LN, CARY, NC 27519(919) 363-7546(919) 363-3616 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2020, Apr 8, 2019 (2 updates tracked since 2019).

About Cary Skin Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARY SKIN CENTER, PA (NPI 1902869530) is a healthcare organization registered as a mohs-micrographic surgery in Cary, North Carolina and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Pinehurst, and lists Robert E Clark, President, as its authorized official.

NPPES Registry Identity

NPI1902869530
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCARY SKIN CENTER, PA
Location Address200 WELLESLEY TRADE LNCary, NC 27519-5576
Mailing Address200 Wellesley Trade LnCary, NC 27519-5576 · (919) 363-7546 · Fax (919) 363-3616
Fax(919) 363-3616
Organization SubpartNo
Authorized OfficialRobert E ClarkPresident · (919) 363-7546
Enumeration DateApril 6, 2006
Last NPPES UpdateApril 28, 20202 updates tracked since enumeration
NPPES CertifiedApril 28, 2020
NPI 1902869530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in NC · 81706
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

200 WELLESLEY TRADE LN, Cary, NC 27519

Secondary Practice Location 1

Location 15 Regional Cir Ste B&cPinehurst, NC 28374-9863 · Phone (910) 295-1761

Other Identifiers 3

Other30557NC · Wellpath
Other01603NC · Bcbs
Medicaid8901603NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 34D0950270

Cary Skin Center, PA · Cary, NC
Active · expires Mar 8, 2027
CLIA Number34D0950270
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorRobert E. Clark
Laboratory Phone(919) 363-7546
Laboratory LocationCary Skin Center, PA200 Wellesley Trade Lane, Cary, NC 27519
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D1074714

Cary Skin Center At Pinehurst · Southern Pines, NC
Active · expires Dec 29, 2026
CLIA Number34D1074714
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorRobert E. Clark
Laboratory Phone(910) 295-1761
Laboratory LocationCary Skin Center At Pinehurst205 Pavilion Way, Suite 200, Southern Pines, NC 28387
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
200 WELLESLEY TRADE LN
CARY, NC 27519
Physician Assistant
200 WELLESLEY TRADE LN
CARY, NC 27519
Nurse Practitioner
200 WELLESLEY TRADE LN
CARY, NC 27519
Dermatology (MOHS-Micrographic Surgery)
200 WELLESLEY TRADE LN
CARY, NC 27519
Dermatology (MOHS-Micrographic Surgery)
200 WELLESLEY TRADE LN
CARY, NC 27519
Physician Assistant
200 WELLESLEY TRADE LN
CARY, NC 27519
Physician Assistant
200 WELLESLEY TRADE LN
CARY, NC 27519
Physician Assistant
200 WELLESLEY TRADE LN
CARY, NC 27519

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902869530, enumerated as an "organization" on April 06, 2006.

The provider is located at 200 WELLESLEY TRADE LN CARY, NC 27519 and the phone number is (919) 363-7546.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.